Organization · Type 2 NPI
Intermountain Oral & Maxillofacial Surgery
Oral and Maxillofacial Surgery (Dentist) · Taylorsville, UT
NPI number
1760745251
Active
Practice location
6287 S Redwood Rd, #103
Taylorsville, UT 84123-6634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | LIC-4-12-7785 (UT) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
7 other providers at this address
- Fresh Start Dental CenterExclusive Provider Organization Taylorsville, UT NPI 1861715005
- Peter E. Paulos, Dds, MSOrthodontics and Dentofacial Orthopedics Dentistry Salt Lake City, UT NPI 1508014127
- Richard W Elggren DMD IncEndodontics Taylorsville, UT NPI 1205893740
- Gerald Stohl Summerhays, DDS, MSPeriodontics Salt Lake City, UT NPI 1659306363
- Jamie S. Pogue, DMDEndodontics Taylorsville, UT NPI 1952369522
- Jason J. Horgesheimer, DDSPediatric Dentistry Taylorsville, UT NPI 1588720304
- Richard W. Elggren, DMDEndodontics Taylorsville, UT NPI 1831156371
About NPI 1760745251
Intermountain Oral & Maxillofacial Surgery's National Provider Identifier is 1760745251, issued on Jun 19, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Taylorsville, UT. The record was last updated on Jun 19, 2012.